Jessica de la Rosa Licensed Clinical Social Worker, Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

JESSICA DE LA ROSA LICENSED CLINICAL SOCIAL WORKER, INC.

Practice address

104 E Olive Ave Ste 201
Redlands, CA 92373-5255

Phone

(909) 378-9432

NPI assigned

Sep 28, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Jessica De la Rosa, MSWNPI 1477969079

Title

LCSW

Phone

(909) 378-9432

Specialties & licenses 1

Addresses

Other names 1

• Jessica De La Rosa Licensed Clinical Social Worker, Inc. Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica De la Rosa

  • Clinical Social Worker
  • Redlands, CA
  • NPI 1477969079
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1695859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695859200000",
    "number": "1871373712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 E OLIVE AVE STE 201",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923735255",
            "telephone_number": "909-378-9432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 E OLIVE AVE STE 201",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923735255",
            "telephone_number": "909-378-9432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA DE LA ROSA LICENSED CLINICAL SOCIAL WORKER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-28",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A",
        "authorized_official_last_name": "DE LA ROSA",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "909-378-9432",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jessica De La Rosa Licensed Clinical Social Worker, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Hayhurst Physician Assistant Apc
• Michelle Jensen
• Dongjun Jeong, D.D.S
• Yanghoon Peter Jeong
• Mathew Jerome
• Jesus a Flores D D S
• Jessica Jewett, OTR/L
• Jiensup Kim, M.D. Inc.
• Arshad Jiffry, M.D.
• Ann Jih, LMFT

• Clinical Social Worker in Redlands, CA
• Providers in Redlands, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.